Individual provider · Type 1 NPI

Kenneth Lyles

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1144724220 Active

Practice location

11100 Saint Clair Ave
Cleveland, OH 44108-1943

Call (216) 664-2904 Map

Fax (216) 420-7744

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X166156 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1144724220

Kenneth Lyles's National Provider Identifier is 1144724220, issued on Mar 22, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Mar 22, 2018.